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Clinical features and functional prognosis that reveal in postural changes in frail elderly

Research Project

Project/Area Number 15K01426
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Rehabilitation science/Welfare engineering
Research InstitutionOsaka Prefecture University

Principal Investigator

HIGUCHI Yumi  大阪府立大学, 総合リハビリテーション学研究科, 教授 (60312188)

Co-Investigator(Kenkyū-buntansha) 岩田 晃  大阪府立大学, 総合リハビリテーション学研究科, 教授 (90382241)
淵岡 聡  大阪府立大学, 総合リハビリテーション学研究科, 教授 (30290381)
Project Period (FY) 2015-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000)
Fiscal Year 2017: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2016: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000)
Fiscal Year 2015: ¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000)
Keywords高齢者 / 姿勢 / 体幹筋力 / 運動プログラム / 歩行 / 背筋力 / 虚弱高齢者 / 機能的予後
Outline of Final Research Achievements

We examined whether postural changes assessed by the spinal curvature in frail elderly people are related to mobility, physical function and cognitive function. With the decrease in lumbar lordosis, trunk strength and plantar flexor strength decreased significantly. Additionally, increase in thoracic spine posterior angle was associated with a high fall risk and decreased walking ability. Therefore, we designed an 8-week sitting truncal strength program to examine the reversibility of the spinal curvature preventively, and found significant improvements in the thoracic spine posterior angle as well as a significant improvement in back muscle strength and endurance.

Academic Significance and Societal Importance of the Research Achievements

虚弱高齢者の転倒リスクは、外的要因(環境、内服状況等)に依存するところが大きい。脊柱弯曲角度という静的指標の有用性を明らかにした本研究結果により、臨床での迅速な対応につながる。さらに、その脊柱弯曲角度を改善させる運動療法の効果を示したことは、虚弱高齢者に対して単なる「姿勢評価」を越えた臨床的意義の高い研究成果と言える。

Report

(5 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Research-status Report
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (14 results)

All 2019 2018 2017 2016 2015 Other

All Journal Article (3 results) (of which Peer Reviewed: 3 results,  Open Access: 1 results,  Acknowledgement Compliant: 1 results) Presentation (8 results) (of which Int'l Joint Research: 2 results,  Invited: 2 results) Book (1 results) Remarks (2 results)

  • [Journal Article] 軽度要介護者の通所介護サービス利用日と非利用日の日内歩数推移に関する予備的研究2018

    • Author(s)
      安藤卓、樋口由美、今岡真和、藤堂恵美子、上田哲也、北川智美
    • Journal Title

      総合リハビリテーション

      Volume: 46 Pages: 359-364

    • NAID

      40021513197

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 要支援・軽度要介護者の移動能力向上を考える2018

    • Author(s)
      樋口由美
    • Journal Title

      理学療法京都

      Volume: 47 Pages: 61-65

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Low-frequency Exercise and Vitamin D Supplementation Reduce Falls Among Institutionalized Frail Elderly2017

    • Author(s)
      Imaoka, M., Higuchi, Y., Todo, E., Kitagwa, T., & Ueda, T
    • Journal Title

      International Journal of Gerontology

      Volume: 10 Issue: 4 Pages: 202-206

    • DOI

      10.1016/j.ijge.2017.02.005

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Presentation] Daily routine intervention to increase steps in frail older adults2019

    • Author(s)
      Ando S, Higuchi Y, Kitagawa T, Murakami T, Todo E, Hatanaka H, Tamura T, Kohzuki W, Nagai M
    • Organizer
      13th International Society of Physical and Rehabilitation Medicine World Congress
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Sitting Trunk Exercises for Older Adults to Improve Balance and Mobility: A Pilot Study2018

    • Author(s)
      Higuchi Y, Matsumoto H, Matsubara C, Morimoto N, Ishida R, Masuda T, Iwata A., Fuchioka S
    • Organizer
      The Gerontological Society of America (GSA) 2018 ANNUAL SCIENTIFIC MEETING
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 在宅高齢者の理学療法 生活機能向上に向けて2018

    • Author(s)
      樋口由美
    • Organizer
      徳島県理学療法士学会
    • Related Report
      2018 Annual Research Report
    • Invited
  • [Presentation] 要支援・軽度要介護者の過去1年間の転倒歴と歩数の関係2018

    • Author(s)
      安藤卓, 樋口由美, 藤堂恵美子, 北川智美, 村上達典, 田村哲也, 福永正太, 麻生真理, 山田夕姫菜
    • Organizer
      第20回日本骨粗鬆症学会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 要支援・軽度要介護高齢者における歩数とその関連要因の検討2018

    • Author(s)
      安藤卓, 樋口由美, 北川智美, 村上達典, 田村哲也, 藤堂恵美子, 畑中良太, 福永正太, 麻生真理, 山田夕姫菜
    • Organizer
      第5回日本地域理学療法学術大会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 要支援・軽度要介護者の移動能力向上を考える2017

    • Author(s)
      樋口由美
    • Organizer
      京都府理学療法士学会(招待講演)
    • Related Report
      2017 Research-status Report
    • Invited
  • [Presentation] 介護老人保健施設におけるリハビリテーションの意義2016

    • Author(s)
      樋口由美、岩田晃、今岡真和
    • Organizer
      第53回日本リハビリテーション医学会学術集会
    • Place of Presentation
      国立京都国際会館(京都市左京区)
    • Year and Date
      2016-06-10
    • Related Report
      2015 Research-status Report
  • [Presentation] 地域在住高齢女性の脊柱アライメントに顕在化する機能低下2015

    • Author(s)
      樋口由美、岩田 晃・他8名
    • Organizer
      第50回日本理学療法学術大会
    • Place of Presentation
      東京国際フォーラム(東京都千代田区)
    • Year and Date
      2015-06-07
    • Related Report
      2015 Research-status Report
  • [Book] 運動器の運動療法2017

    • Author(s)
      淵岡聡、岩田晃、樋口由美、安藤卓、他24名
    • Total Pages
      339
    • Publisher
      羊土社
    • ISBN
      9784758102223
    • Related Report
      2017 Research-status Report
  • [Remarks] 大阪府立大学総合リハビリテーション学研究科 樋口研究室

    • URL

      http://elderly.rehab.osakafu-u.ac.jp/

    • Related Report
      2018 Annual Research Report 2016 Research-status Report 2015 Research-status Report
  • [Remarks] 大阪府立大学総合リハビリテーション学研究科 樋口研究室

    • URL

      http://elderly.rehab.osakafu-u.ac.jp/

    • Related Report
      2017 Research-status Report

URL: 

Published: 2015-04-16   Modified: 2020-03-30  

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